Thera-Band exercise program can reduce the need for shoulder impingement surgery

赛乐弹性抗阻锻炼计划，可以减少肩部撞击手术的需要——推荐给教练、运动员及相关医生

June 20, 2012

2012年6月20日，
Several researchers have suggested that therapeutic exercise with Thera-Band elastic bands and tubing combined with manual therapy is as effective as surgery for patients with subacromial shoulder impingement (Haar et al 2005, Brox et al. 1993). While therapeutic exercise has been shown effective, few studies have compared specific exercise strategies.

对于肩撞击综合征（Haar et al 2005, Brox et al. 1993）患者而言，一些研究人员认为使用赛乐弹力带和弹力管，并结合手法治疗的运动治疗和手术一样的有效。而运动治疗已被证明有效的，很少有研究比较具体的运动策略。
Swedish researchers recently published a well-designed, randomized, controlled double blind clinical study on 102 patients with chronic subacromial impingement syndrome (SAIS) lasting greater than 6 months. Patients were assigned to either a specific shoulder strengthening and mobilization program or a control group performing “unspecified movement exercises” for the neck and shoulder. The patients had all failed in conservative treatment prior to the study.

瑞典研究人员最近公布了一个精心设计的，随机，对照，双盲控制的，对102例慢性肩撞击综合征（PECC）患者持续时间大于6个月的临床研究。患者被分配到任何一个特定的肩部力量和活动方案或执行“未指定的颈部和肩部的运动练习” 对照组。患者在保守治疗的研究之前都没有。

The strengthening program included dumbbell and elastic tubing exercises including eccentric rotator cuff and scapular stabilizer strengthening.  (Download protocol here) All patients attended physical therapy once a week for the first 2 weeks, and once every other week for the next 10 weeks. Both groups performed their exercises once or twice a day. An amazing 95% of the participants completed the 12-week study; the authors believed the simplicity of the program with guided exercises was the key to the success of the program.

加强计划包括加强偏心肩袖和肩胛稳定性的哑铃和弹性管练习。 （下载协议），所有患者参加前两周，每周一次，未来10周每隔一周一次的物理治疗。两组进行练习，每天一次或两次。令人惊奇的是95％的参加者完成了12周的研究，作者认为，简单的有指导的运动方案是计划成功的关键。
Significantly more patients in the specific exercise group using Thera-Band elastic tubing reported successful outcomes (65% in the specific exercise group versus 24% in the non-specific exercise group). In addition, there were significantly fewer surgeries in the specific exercise group (20% versus 63%), representing 7.7 times less need for subacromical decompression surgery after the Thera-Band exercise program.

值得注意的是在特定运动组使用弹力带和弹力管的患者被报道有更成功的结果，（在特定的运动组占65％和非特定的运动组24％）。此外，在赛乐弹性阻力训练组，有显著减少特定运动组中的手术者（20％比63％），相当于低于7.7倍的肩部减压手术需要。
Interestingly, this same group of researchers published a study showing that post-arthroscopic physical therapy programs including Thera-Band elastic bands are superior to simple home-based range of motion programs. In conclusion, Thera-Band bands and tubing can help reduce the need for shoulder impingement surgery, and enhance the recovery of those needing surgery.

有趣的是，这同一组研究人员发表的一项研究显示，关节腔镜后的物理治疗方案，包括赛乐弹性阻力带都优于简单的以家庭为基础的活动度项目。总之，赛乐弹性阻力带和弹性阻力管可以帮助减少肩撞击综合征手术的需要，并提高那些需要手术的患者的恢复能力。

 

用户感言：One Comment

1.              Freehold NJ Chiropractor

Posted June 21, 2012 at 9:30 am | Permalink

2012年6月21日，上午9:30

I’ve used theraband and exercise therapy with patients for the past 14 years along with chiropractic extremity adjusting protocols and have saves many patients from surgery.

在过去长达14年的时间里，我已经将赛乐弹性阻力训练应用于有脊椎尾端调整协议的患者，并使很多患者免于手术。
I had one patient in particular who was 80 years old, told by 2 ortho surgeons nothing can help him but surgery and that he can never do his favorite hobbies: tennis, bowl and golf.

我有一个特殊的病人，80岁，2个骨科手术医生告诉他只有手术可以帮到他，但他将永远无法继续他最喜欢的业余活动：网球，保龄球和高尔夫球。
I told him you have nothing to lose by trying our type of treatment and within one month he had improved his range of motion more than 70% and improved his strength. He is now 86, still playing golf and tennis and enjoying life.. without the unnecessary, expensive surgery that would’ve restricted his lifestyle.

我告诉他可以尝试我们这种类型的治疗而且不会有任何的损伤，并在一个月内，他改善他的活动度超过70％的范围，并提高了自己的力量。他现在是86，还是打高尔夫球和网球，享受生活......没有不必要的，昂贵的本会限制他生活方式的手术。